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Trudel S, Tessoulin B, Jullien M, Blin N, Gastinne T, Mahé B, Dubruille V, Bonnet A, Lok A, Chevallier P, Peterlin P, Garnier A, Guillaume T, Le Bourgeois A, Le Gouill S, Moreau P, Touzeau C. Pomalidomide, cyclophosphamide, and dexamethasone for relapsed/refractory multiple myeloma patients in a real-life setting: a single-center retrospective study. Ann Hematol 2019; 98:1441-1447. [PMID: 30874851 DOI: 10.1007/s00277-019-03649-3] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2019] [Accepted: 02/27/2019] [Indexed: 10/27/2022]
Abstract
Pomalidomide dexamethasone is a standard of care for relapsed multiple myeloma (MM) patients who received at least two prior lines of therapy, including both lenalidomide and proteasome inhibitors (PI). We report here a real-life single-center series of 49 consecutive patients with relapsed and refractory MM treated with the triplet pomalidomide cyclophosphamide dexamethasone (PCD) combination. The median of prior lines of therapy was 3 and all patients were previously exposed to proteasome inhibitors and lenalidomide. The overall response rate was 76%, including 27% very good partial response or better. With a median follow-up of 16 months, the median progression-free survival (PFS) was 7.3 months and the median overall survival was not reached. Regarding safety, most frequent toxicity was hematologic, including 37% grade 3-4 cytopenias. Nine patients (18%) discontinued therapy due to adverse event. Our study confirms that PCD combination is feasible and results in favorable response rate and PFS in comparison with pomalidomide dexamethasone alone.
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Affiliation(s)
- Sabrina Trudel
- Department of Hematology, Centre Hospitalier Universitaire, Nantes, France
| | - Benoît Tessoulin
- Department of Hematology, Centre Hospitalier Universitaire, Nantes, France.,CRCINA, INSERM, CNRS, Université d'Angers, Université de Nantes, Nantes, France
| | - Maxime Jullien
- Department of Hematology, Centre Hospitalier Universitaire, Nantes, France
| | - Nicolas Blin
- Department of Hematology, Centre Hospitalier Universitaire, Nantes, France
| | - Thomas Gastinne
- Department of Hematology, Centre Hospitalier Universitaire, Nantes, France
| | - Béatrice Mahé
- Department of Hematology, Centre Hospitalier Universitaire, Nantes, France
| | - Viviane Dubruille
- Department of Hematology, Centre Hospitalier Universitaire, Nantes, France
| | - Antoine Bonnet
- Department of Hematology, Centre Hospitalier Universitaire, Nantes, France
| | - Anne Lok
- Department of Hematology, Centre Hospitalier Universitaire, Nantes, France
| | - Patrice Chevallier
- Department of Hematology, Centre Hospitalier Universitaire, Nantes, France
| | - Pierre Peterlin
- Department of Hematology, Centre Hospitalier Universitaire, Nantes, France
| | - Alice Garnier
- Department of Hematology, Centre Hospitalier Universitaire, Nantes, France
| | - Thierry Guillaume
- Department of Hematology, Centre Hospitalier Universitaire, Nantes, France
| | | | - Steven Le Gouill
- Department of Hematology, Centre Hospitalier Universitaire, Nantes, France.,CRCINA, INSERM, CNRS, Université d'Angers, Université de Nantes, Nantes, France.,Site de Recherche Intégrée sur le Cancer (SIRIC) «ILIAD», Nantes, France
| | - Philippe Moreau
- Department of Hematology, Centre Hospitalier Universitaire, Nantes, France.,CRCINA, INSERM, CNRS, Université d'Angers, Université de Nantes, Nantes, France.,Site de Recherche Intégrée sur le Cancer (SIRIC) «ILIAD», Nantes, France
| | - Cyrille Touzeau
- Department of Hematology, Centre Hospitalier Universitaire, Nantes, France. .,CRCINA, INSERM, CNRS, Université d'Angers, Université de Nantes, Nantes, France. .,Site de Recherche Intégrée sur le Cancer (SIRIC) «ILIAD», Nantes, France. .,Service d'hématologie Clinique, Centre Hospitalier Universitaire, Place Alexis Ricordeau, 44093, Nantes, France.
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Sánchez Acevedo Z, Pomares Rey B, Alpera Tenza MR, Andrada Becerra E. [Primary pancreatic plasmacytoma]. Radiologia 2012; 56:e17-20. [PMID: 22738942 DOI: 10.1016/j.rx.2011.10.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2011] [Revised: 10/23/2011] [Accepted: 10/26/2011] [Indexed: 01/31/2023]
Abstract
Extramedullary plasmacytomas are uncommon malignant plasma cell tumors that present outside the bone marrow; 80% of extramedullary plasmacytomas are located in the upper respiratory tract, and gastrointestinal plasmacytomas are rare. We present the case of an asymptomatic 65-year-old man in whom a pancreatic mass was found incidentally. The lesion was determined to be a pancreatic plasmacytoma after fine-needle aspiration cytology and surgical resection. No clinical, laboratory, or imaging findings indicative of multiple myeloma or association with other plasmacytomas were found, so the tumor was considered to be a primary pancreatic plasmacytoma.
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Affiliation(s)
- Z Sánchez Acevedo
- Servicio de Radiodiagnóstico, Hospital General Universitario de Elche, Elche, Alicante, España.
| | - B Pomares Rey
- Servicio de Radiodiagnóstico, Hospital General Universitario de Elche, Elche, Alicante, España
| | - M R Alpera Tenza
- Servicio de Radiodiagnóstico, Hospital General Universitario de Elche, Elche, Alicante, España
| | - E Andrada Becerra
- Servicio de Anatomía Patológica, Hospital General Universitario de Elche, Elche, Alicante, España
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